The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the UK. Guest, J. F., Vowden, K., & Vowden, P. Journal of Wound Care, 26(6):292--303, June, 2017.
doi  abstract   bibtex   
OBJECTIVE: To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK. METHOD: This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults ≥18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices. RESULTS: An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40% were considered to be acute wounds, 48% chronic and 12% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9%, 12% and 13% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG/health board is predicted to manage \textasciitilde23,200 wounds per annum by 2019/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) £50 million on managing these wounds and associated comorbidities. CONCLUSION: Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG/health board. Strategies are required to improve the accuracy of diagnosis and healing rates.
@article{guest_health_2017,
	title = {The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the {UK}},
	volume = {26},
	issn = {0969-0700},
	doi = {10.12968/jowc.2017.26.6.292},
	abstract = {OBJECTIVE: To estimate the patterns of care and related resource use attributable to managing acute and chronic wounds among a catchment population of a typical clinical commissioning group (CCG)/health board and corresponding National Health Service (NHS) costs in the UK.
METHOD: This was a sub-analysis of a retrospective cohort analysis of the records of 2000 patients in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health-care resource use were quantified for an average CCG/health board with a catchment population of 250,000 adults ≥18 years of age, and the corresponding NHS cost of patient management was estimated at 2013/2014 prices.
RESULTS: An average CCG/health board was estimated to be managing 11,200 wounds in 2012/2013. Of these, 40\% were considered to be acute wounds, 48\% chronic and 12\% lacking any specific diagnosis. The prevalence of acute, chronic and unspecified wounds was estimated to be growing at the rate of 9\%, 12\% and 13\% per annum respectively. Our analysis indicated that the current rate of wound healing must increase by an average of at least 1\% per annum across all wound types in order to slow down the increasing prevalence. Otherwise, an average CCG/health board is predicted to manage {\textasciitilde}23,200 wounds per annum by 2019/2020 and is predicted to spend a discounted (the process of determining the present value of a payment that is to be received in the future) £50 million on managing these wounds and associated comorbidities.
CONCLUSION: Real-world evidence highlights the substantial burden that acute and chronic wounds impose on an average CCG/health board. Strategies are required to improve the accuracy of diagnosis and healing rates.},
	language = {eng},
	number = {6},
	journal = {Journal of Wound Care},
	author = {Guest, J. F. and Vowden, K. and Vowden, P.},
	month = jun,
	year = {2017},
	pmid = {28598761},
	keywords = {Cost, burden, clinical commissioning group, health board, ulcers, wounds},
	pages = {292--303}
}

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